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What can I do about haemorrhoids? | NHS

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What Can I Do About Haemorrhoids? | NHS

Understanding Haemorrhoids

Haemorrhoids, also known as piles, are swollen blood vessels found inside or around the bottom (the rectum and anus). They are a common condition and can cause discomfort, itching, pain, and bleeding. In the UK, haemorrhoids affect around 4.4% of the population and are more common in adults aged 45-65.

Symptoms of Haemorrhoids

Some of the common symptoms include:
  • Bleeding after passing a stool – the blood is usually bright red.
  • Itchy bottom.
  • A lump hanging outside the anus, which may need to be pushed back in after passing a stool.
  • A mucus discharge after passing a stool.
  • Soreness, redness, and swelling around your anus.

Home Treatments and Lifestyle Changes

For most people, haemorrhoids improve within a few days without requiring treatment. Here are some things you can do at home to help ease the discomfort:
  • Increase Fibre Intake: Eating high-fibre foods like fruits, vegetables, and whole grains can ease the passage of stools and reduce the strain that may cause haemorrhoids.
  • Stay Hydrated: Drinking plenty of water helps to keep stools soft.
  • Avoid Straining: Try not to strain when on the toilet, as this can exacerbate haemorrhoids.
  • Regular Exercise: Engaging in regular physical activity can help prevent constipation and reduce pressure on veins.
  • Warm Sitz Baths: Soaking the anal area in warm water for 10-15 minutes several times a day can provide relief.

Over-the-Counter Treatments

Pharmacies in the UK offer various over-the-counter treatments to relieve haemorrhoid symptoms. These include:
  • Creams and Ointments: Products containing hydrocortisone help reduce inflammation and itching.
  • Suppositories: Inserted into the rectum to treat internal piles, these can help alleviate pain and swelling.
  • Cold Packs: Applying a cold pack can reduce swelling and provide pain relief.
It is essential to follow the instructions provided with these treatments and consult a pharmacist for advice.

When to See a GP

While haemorrhoids often improve with home treatments, you should see your GP if you experience:
  • Persistent or severe pain.
  • Continuous bleeding or bright red blood in your stool.
  • No improvement after seven days of home treatment.
Your GP may prescribe stronger medications or suggest other treatments like banding, sclerotherapy, or surgery in more severe cases.

Conclusion

Haemorrhoids can be uncomfortable, but they are generally manageable with self-care and over-the-counter treatments. By making lifestyle changes and seeking medical advice when necessary, most people can find relief from their symptoms. If you are concerned about your symptoms or if they persist, do not hesitate to contact your GP for further guidance.

What Can I Do About Haemorrhoids? | NHS

Understanding Haemorrhoids

Haemorrhoids, also called piles, are swollen blood vessels. They are inside or around your bottom (rectum and anus). Many people have them. They can make you feel itchy, sore, and cause bleeding. In the UK, about 4 out of 100 people have haemorrhoids, mostly adults aged 45-65.

Symptoms of Haemorrhoids

How to tell if you have haemorrhoids:
  • Bleeding after you go to the toilet – the blood is bright red.
  • Itchy bottom.
  • A lump outside your bottom that you may need to push back in.
  • Mucus on toilet paper after wiping.
  • Sore, red, and swollen area around your bottom.

Home Treatments and Lifestyle Changes

Most haemorrhoids get better on their own in a few days. Here are things you can do at home to feel better:
  • Eat More Fibre: Foods like fruits, vegetables, and whole grains help make stools softer and easier to pass.
  • Drink Water: Keep hydrated to help keep stools soft.
  • Don’t Strain: Try not to push too hard when on the toilet.
  • Exercise Regularly: Moving around can help stop constipation and reduce vein pressure.
  • Take Warm Baths: Soak your bottom in warm water for 10-15 minutes a few times a day to feel better.

Over-the-Counter Treatments

You can get medicines from the pharmacy to relieve haemorrhoids:
  • Creams and Ointments: Some contain hydrocortisone to reduce swelling and itching.
  • Suppositories: These are placed inside your bottom to help with pain and swelling.
  • Cold Packs: Using a cold pack can make swelling go down and ease pain.
Always read instructions on these medicines. Ask the pharmacist if you need help.

When to See a GP

Most times, haemorrhoids improve on their own. But see your doctor if:
  • You have bad pain that doesn’t go away.
  • You see bright red blood in your stool often.
  • You haven’t gotten better after using home treatments for seven days.
A doctor may give you stronger medicine or tell you about other treatments to help you.

Conclusion

Haemorrhoids can be uncomfortable, but you can often manage them with self-care and pharmacy treatments. By changing your lifestyle and getting medical advice, most people find relief. If your symptoms bother you or don’t go away, talk to your doctor.

Frequently Asked Questions

Haemorrhoids, also known as piles, are swellings containing enlarged blood vessels found inside or around the bottom (the rectum and anus).

Common symptoms include bleeding after passing a stool, itchy bottom, a lump hanging outside the anus that may need to be pushed back in after passing a stool, and a mucus discharge after passing a stool.

The exact cause is unclear, but they are often associated with increased pressure in the blood vessels in and around the anus. Contributing factors include chronic constipation or diarrhoea, straining during bowel movements, pregnancy, and ageing.

To prevent haemorrhoids, maintain a high-fibre diet to keep stools soft, drink plenty of fluids, avoid straining during bowel movements, and exercise regularly.

See a GP if you experience bleeding from the bottom, if over-the-counter treatments haven't helped, or if you continue to have symptoms like severe pain or discomfort.

Over-the-counter treatments include creams, ointments, and suppositories, which can help to reduce swelling and discomfort.

Home remedies include soaking in a warm bath several times a day, especially after bowel movements, and using moist wipes instead of dry toilet paper.

Yes, lifestyle changes like increasing dietary fibre intake, staying hydrated, and avoiding prolonged sitting on the toilet can help manage and prevent haemorrhoids.

Small haemorrhoids can sometimes improve on their own without treatment. However, lifestyle changes and over-the-counter treatments can help relieve symptoms more quickly.

Haemorrhoids are not usually dangerous, but they can be extremely uncomfortable. Persistent or severe cases should be evaluated by a healthcare provider.

For more severe haemorrhoids, treatments include banding (where a tight elastic band is placed around the base of the haemorrhoid to cut off its blood supply), sclerotherapy (where a hardening agent is injected to shrink the haemorrhoid), and surgical removal.

Yes, gentle exercise such as walking can help stimulate bowel function. However, avoid heavy lifting or strenuous activities that could exacerbate the haemorrhoids.

Over-the-counter pain relievers such as paracetamol can be used to alleviate pain. Follow the dosage instructions and consult a healthcare provider if you are unsure.

A diet high in fibre, including fruits, vegetables, whole grains, and legumes, can help produce soft stools that are easier to pass and reduce the risk of haemorrhoids.

Yes, sitting for extended periods, particularly on the toilet, can contribute to the development of haemorrhoids by increasing pressure on the blood vessels in the anal area.

Piles are also called haemorrhoids. They are lumps with big blood vessels. You can find them inside or around your bottom (the rectum and anus).

If you have trouble reading, you can ask someone to read it to you. You can also use reading tools that read the text out loud.

Here are some signs you might notice:

  • Bleeding after you go to the toilet.
  • An itchy feeling around your bottom.
  • A lump that sticks out from your bottom. You might need to push it back in after going to the toilet.
  • A slimy liquid coming out of your bottom after you go to the toilet.

To help remember or understand these signs, you can:

  • Use picture cards to match words with images.
  • Ask someone to read with you and explain the signs.
  • Use simple drawings to help visualize each symptom.

The exact cause is unclear, but they are often related to pressure in the blood vessels in and around the anus. Contributing factors include chronic constipation or diarrhoea, straining during bowel movements, pregnancy, and ageing.

To stop haemorrhoids, eat food with lots of fibre to help make poo soft. Drink lots of water. Don’t push too hard when you go to the toilet. Exercise often.

Go to the doctor if you see blood when you go to the toilet. Also, visit the doctor if medicine from the shop doesn't help or if you still have a lot of pain or feel very uncomfortable.

It might help to talk to someone you trust about how you feel. Writing down your symptoms can help you remember when you talk to the doctor.

You can buy some medicines without a doctor's note. These can be creams, ointments, or special pills you put in your bottom. They help make the swelling go down and stop it from hurting.

If you find reading hard, you can use tools to help. You can try listening to audiobooks or using screen readers on computers and phones. These can read the words out loud to you. You can also ask someone you trust to help you read or understand this. Using bright colors to highlight important words or drawing pictures can also make things clearer.

Here are some ways to feel better at home:

You can sit in a warm bath a few times each day. It's a good idea to do this after using the bathroom.

Try using wet wipes instead of dry toilet paper. Wet wipes can be softer on your skin.

If you need help reading, you can ask someone to read it with you, or use an app that reads out loud. You can also look at pictures or videos about this topic online.

Yes, changing some things in your life can help with piles (haemorrhoids). You can eat more foods with fibre, drink lots of water, and not sit on the toilet for too long.

Small piles can get better without help. But, changing some everyday habits and using medicine from the shop can make you feel better faster.

Haemorrhoids are not usually dangerous, but they can be very uncomfortable. If they don't go away or are really bad, you should see a doctor.

If piles are bad, doctors can help in different ways. They can use a small rubber band. This band goes around the pile to stop blood from getting to it. This helps the pile go away. Another way is by using a special medicine. The medicine makes the pile shrink. Sometimes, doctors need to remove the pile with surgery.

Yes, doing gentle exercise like walking can help make your tummy work better. But do not lift heavy things or do hard exercise because this can make piles worse.

You can take medicine like paracetamol to help with pain. Make sure to follow the instructions on the packet. If you are not sure what to do, ask a doctor or nurse for help.

Eating foods with lots of fibre can help. This includes fruits, vegetables, whole grains, and beans. These foods make it easier to go to the toilet and help stop piles from forming.

Sitting for a long time, especially on the toilet, can cause haemorrhoids. This happens because it puts extra pressure on the blood vessels in your bottom.

If you find it hard to read or understand this, you can use tools like text-to-speech apps. These apps can read the words out loud to you, which might help.

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This website offers general information and is not a substitute for professional advice. Always seek guidance from qualified professionals. If you have any medical concerns or need urgent help, contact a healthcare professional or emergency services immediately.

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